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Individual

DR. AMBER O. PERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
400 TOWN PARK BLVD STE 400, EVANS, GA 30809-3471
(706) 288-1100
(706) 288-1060
Mailing address
400 TOWN PARK BLVD STE 400, EVANS, GA 30809-3471
(706) 288-1100
(706) 288-1060

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
012229
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000889787B
GA
05
000889787C
GA
01
9180557
DORAL
GA
Enumeration date
07/21/2006
Last updated
07/21/2022
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